Contract Pharmacy Details

ECKERD CORPORATION
CH020160 SYRACUSE COMMUNITY HEALTH CENTER, INC.

Covered Entity Details

Entity Name

SYRACUSE COMMUNITY HEALTH CENTER, INC.

Subdivision Name

SYRACUSE COMMUNITY HEALTH CENTER, INC.

Type

HRSA-Funded Health Center

340B ID

CH020160

Entity Address

819 S Salina St
Syracuse, NY 13202-3527

Grant Number

H80CS00434

Participating Start Date

12/1/1992

Last Recertification Date

2/10/2025

Pharmacy Details

Pharmacy Name

ECKERD CORPORATION

Pharmacy Address

RITE AID #10766
4751 ONONDAGA BLVD.
SYRACUSE, NY 13219

Pharmacy Comments

Contract Details

Approval Date

5/2/2017

Contract Begin Date

7/1/2017

Carve-In Effective Date

Contract Comments

Contract Termination Date
Termination Reason

4/5/2018
Ownership change

Contacts

Covered Entity Signing Official

Leola Rodgers, President and CEO
(315) 476-7921 Ext: 2427

Contract Pharmacy Representative

Rite Aid
Alison Farrell, Vice President |Managed Care
(717) 975-5968

Signed By Date

5/2/2017

340B Drug Pricing Program Database